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HomeMy WebLinkAboutWESTBOUND COMMUNICATIONS, INC. (3)-2017A-2015. f•2 -a3 THIRD AMENDMENT TO CONSULTANT AGREEMENT THIS THIRD AMENDMENT TO CONSULTANT AGREEMENT is entered into on. June 15, 2017 by and between Westbound Communications, Inc,, a California corporation (hereinafter "Consultant'), and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California (hereinafter "City"). RECITALS A. The parties entered into Agreement # A-2015-112, dated June 16, 2015, (hereinafter "said Agreement") for a consultant having special skill and knowledge in the field of public outreach and promotional services related to the ReadyOC (ROC) Emergency Preparedness Campaign and the "If You See Something Say Something®" (S4) campaign. B. The parties entered into a First Amendment of the Agreement #A-2015-112-001 dated June 14, 2016 wherein the scope of services was amended to change the deliverables which were provided in certain tasks, authorize the expenditure of contingency funds in relation to specific tasks, and adopt the certifications that are required as a condition of Urban Areas Security initiative ("UASI") grant funding. C. The parties entered into a Second Amendment of the Agreement #A-2015-112-001 dated May 10, 2017 wherein the scope was services was amended as set forth in Exhibits A and B to the First Amendment to the Agreement. The additional services were funded by the 5% contingency funds detailed within the Milestone Payment schedules provided in the exhibits to the First Amendment. The term for those additional services were to be completed by May 31, 2017 and did not revise any of the terms of the First Amendment. D. In accordance with the terms and conditions of said Agreement, the Parties desire to anend the scope of services of the Agreement to address services to be provided pursuant to fiscal year 2016 funding; amend the language on the certifications and exercise its option to extend the tern of said Agreement for an additional year. NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the teams and conditions hereinafter set forth, the panes agree as follows: 1. Section 1, SCOPE OF SERVICES, shall be amended as described and set forth in Exhibit A for Consultant ReadyOC (ROC) and as described in Exhibit B for Consultant "If You See Something Say Something(O." Exhibits are attached hereto, and incorporated by reference to this Agreement. 2. Section 2(a), COMPENSATION, shall be amended to extend the term of the Agreement for an additional one -yea period, from June 15, 2017 to June 15, 2018. INSURANCE ON PILE Page 1 of 2 VIORK MAY PROCEED UNTIL INSURANCE EXPIRES CLERK OP COUNCIL DATE: 3. Paragraph 8, CERTIFICATIONS, shall be amended as described and set forth in Exhibit C attached hereto, and incorporated by reference to this Agreement. Except as hereinabove modified, the terms and conditions of said Agreement remain unchanged and in fiill force and effect. IN WITNESS WHEREFOR, the Parties hereto have executed the Third Amendment to Agreement on the date and year first above written. ATTEST: CITY OF SANTA ANA MARIA D. HUIZAR T Clerk of the Council Acting APPROVED AS TO FORM: SONIA R. CARVALHO WESTBOUND COMMUNICATIONS City Attorney FOR APPROVAL: D.AU- - NTIN Acting Chief of Police Page 2 of 2 EXHIBIT A Page 3 of 2 EXHIBIT B Page 4 of 2 Exhibit C CERTWICATIONS a. Debarment and Suspension — Contractor will comply, and all its contractors will comply, with applicable federal suspension and debarment regulations including, but not limited to, Executive Orders 12549 and 12689, and 2 Code of Federal Regulations (CFR) §200.212 and codified in 2 CFR Part 200. b. Section 504 of the Rehabilitation Act of 1973 (Handicapped) - All recipients of federal funds must comply with Section 504 of the Rehabilitation Act of 1973 (The Act). Therefore, the federal funds recipient pursuant to the requirements of The Act hereby gives assurance that no otherwise qualified handicapped person shall, solely by reason of handicap be excluded from the participation in, be denied the benefits of or be subject to discrimination, including discrimination in employment, in any program or activity that receives or benefits from federal financial assistance. The Contractor agrees it will ensure that requirements of The Act shall be included in the agreements with and be binding on all of its contractors, subcontractors, assignees or successors. C. Americans with Disabilities Act of 1990 - (ADA) Contractor must comply with all requirements of the Americans with Disabilities Act of 1990 (ADA), as applicable. d. Lobbying and Political Activity - None of the funds, materials, property, or services provided directly or indirectly under this agreement shall be used for any partisan political activity, or to further the election or defeat of any candidate for public office, or otherwise in violation of the provisions of the "Hatch Act". e. Contractor will comply with all applicable lobbying prohibitions and laws, including those found in United States Code Title 31, § 1352, et seq., and agrees that none of the funds provided under this award may be expended by the Contractor to pay any person to influence, or attempt to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with any federal action concerning the award or renewal of any federal contract, grant, loan, or cooperative agreement. f. Contractor will comply, and all its contractors will comply, with all requirements of the Byrd Anti -Lobbying Amendment (31 U.S.C. 1352), as applicable. g. Non -Discrimination and Equal Opportunity - Contractor will comply, and all its contractors will comply, with Title VI of the Civil Rights Act of 1964, as amended; Section 504 of the Rehabilitation Act of 1964, as amended; Subtitle A, Title II of the Americans with Disabilities Act (ADA) (1990); Title IX of the Education Amendments of 1972; the Age Discrimination Act of 1975, as amended; Drug Abuse Office and Treatment Act of 1972, as amended; Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970, as amended; Section 523 and 527 of the Public Health Service Act of 1912, as amended; Title VIII of the Civil Rights Act of 1968, as amended; Department of Justice Non -Discrimination Regulations, 28 CFR Part 42, Subparts C, D, E, and G; and Department of Justice regulations on disability discrimination, 28 CFR Part 35 and 39. In the event a Federal or State court, Federal or State administrative agency, or the Contractor makes a finding of discrimination after a due process hearing on the grounds of race, color, religion, national origin, sex, or disability against a recipient of funds, the Contractor will forward a copy of the findings to CITY which will, in turn, submit the findings to the Office of Civil Rights, Office of Justice Programs, U.S. Department of Justice. h. Contractor will comply, and all its contractors will comply, with all requirements of the Executive Order 11246 of September 24, 1965, entitled "Equal Employment Opportunity," as amended by Executive Order 11375 of October 13, 1967, and as supplemented in Department of Labor regulations (41 CFR chapter 60), as applicable. i. Contractor will comply, and all its contractors will comply, with all requirements of the California Public Contract Code Section 10295.3, as applicable. j. Contractor will comply, and all its contractors will comply, with all requirements of the Copeland "Anti -Kickback" Act (18 U.S.C. 874) as supplemented in Department of Labor regulations (29 CFR Part 3), as applicable. k. Contractor will comply, and all its contractors will comply, with all requirements of the Davis -Bacon Act (40 U.S.C. 276a to 276a-7) as supplemented by Department of Labor regulations (29 CFR Part 5), as applicable. 1. Contractor will comply, and all its contractors will comply, with all requirements of Sections 103 and 107 of the Contract Work Hours and Safety Standards Act (40 U.S.C. 3701-3708) as supplemented by Department of Labor regulations (29 CFR Part 5), as applicable. m. Contractor will comply, and all its contractors will comply, with all applicable standards, orders or requirements issued under Section 306 of the Clean Air Act (42 U.S.C. 1857(h)), Section 508 of the Clean Water Act (33 U.S.C. 1368), Executive Order 11738, and the Environmental Protection Agency regulations (40 CFR part 15), as applicable. n. Contractor will comply, and all its contractors will comply, with all requirements of the Energy Policy and Conservation Act (Pub. L. 94-163, 89 Stat. 871), (53 FR 8078, 8087, Mar. 11, 1988, as amended at 60 FR 19639, 19645, Apr. 19, 1995), as applicable. o. Contractor will comply, and all its contractors will comply, with all requirements of Section 6002 of the Solid Waste Disposal Act, as amended by the Resource Conservation and Recovery Act, as applicable. P. Contractor will comply with the Federal Water Pollution Control Act (33 U.S.C. 1251-1387) as applicable. q. Contractor agrees that the Department of Homeland Security shall have the authority to seek patent rights for any process, product, invention or discovery developed and paid for with funding through this Agreement based on the requirements of 37 CFR§ 401, as applicable. r. Pursuant to 2 CFR section 200.315, Contractor may copyright any work that is subject to copyright and was developed, or for which ownership was acquired, under a Federal award. The Federal awarding agency reserves a royalty -free, nonexclusive and irrevocable right to reproduce, publish, or otherwise use the work for Federal purposes, and to authorize others to do so. The Federal government has the right to: (1) Obtain, reproduce, publish or otherwise use the data produced under a Federal award; and (2) Authorize others to receive, reproduce, publish, or otherwise use such data for Federal purposes. Contractor will provide information pursuant to 2 CFR section 200.315(e) for response to a Freedom of Information Request when applicable. S. Contractor will comply with the provisions of 2 C.F.R. section 200.315 regarding the use of intangible property. t. Contractor will comply with all applicable local, state and federal statutes, codes and regulations regarding the use of state or federal grant funds and property acquired with those grant funds. U. If the product is defective, does not function as represented or advertised, City is entitled to either a full refund of the purchase price or replacement of the product for a new product at the City's election. f a f�'eNti WESTCOM-16 SGONZALEZ r CERTIFICATE OF LIABILITY INSURANCE DATE IMMIeDrrvYYI PQLICY PNSMHER 42 2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BYTHEPOLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THEISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) most have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this Wirt cote does not confer fights to the Certificate holder in lieu of such endorsement S . PROOUI License 90757776 LguEAct Jordan Epodgeon _ HUB International Insurance Services Inc, 969 239.2$72 h�r<�. Easy 12$9} T79r8576 rtA�, Kop�___�__,�,_,— 2390 Uakverafty Ave., Ste 304 -- Riverside, CA 92501 =gq . cai.e lA}lUttltytarna$1ot1a).GO}r1 _ Riverside. .., IN.yg?.4?LiLAEE�4N?OCO PSP �,_. RAtOY rxsuRERA:SetlnsOrancBCamnanv ttd. -1110o0 INSURED xEaa H3 rd Accident and Indemnity Company '2,2„357 A Westbound Communications, Inc. ' INSURER C.A1tis InsUremea Carnpany 37 3 625 The City Dr., Ste 480 INSURER D: 725DAIS4627 I Orange, CA 92868 SURER MINE SING LE LIMIT + 2,000,000 EDDILYIwUa aarpe<arnru, ..�. ODDLY INJURY (Por accgenFl PPet a�cndent AMAGE, _.._...... ...... _ _ _.......... ...... -------- INSURERF _.._..._ CnVERAn9S r1PRTIPIOATE NtJMSFR- REVISION NUMBER - THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISBUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD (INDICATED, NOTWITHSTANDING ANY REOUIREI,IENT, TE,RNI OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES 04SCRBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND OF SUCH POLICIES. LIMITS $HOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _CONDITICNS INSRHi .�_ TyP@4F lNSURASNCE AVrffESei,+a4aR PQLICY PNSMHER !IF LIG ,.eP__.._ 1 CIMnS ^�^ A x eoraeraRtdAL aENER�,uLwaxlTY Ot.AthL4MADE LA2 OCCUR X x ( (72SSAIB4627 0510612917 ON0612018I I EACtiOCCURa�NCE } s 24000.000 oauaGe rORENTEo - 1.000,000 PEREI&ADV RVAUfTY 2,000000 V N'L AIaOREGATE LIMIT APPLIES PER. PGLIGY dECT LGC GENE AGGREGATE PRODUCTS •COMPIOP GIT A,000,000 A I ,NTOMdSILB 614e141TY pANYAEUTO MJw �CJ[I5 GINLY �s.WOS,ryU'n x 911 x AUr)1%,RY 725DAIS4627 I 05/0612017 0$10612018 MINE SING LE LIMIT + 2,000,000 EDDILYIwUa aarpe<arnru, ..�. ODDLY INJURY (Por accgenFl PPet a�cndent AMAGE, 1. A UMOMIUA LMS I X OCCUR exCfis6LIA9 I Ctasais-MAOE �7ZSSAIS4627 1 05106{2017; OW0612018 EACHOCCURRE"C=_)_t 2,000,000 AtiGRE6 TE I E 2'000,000 I` pEp 1 X RETENTKSR3 1{#.DOO B ioonsaI SSfi�0�tt1PENSAnON AMEN Pl,tlYERS'LSaefMTY 1ANYPROrRl9rtkuPARTNEREJ(ECUTHE YIN (gcFl(;C%Alen sxcLuaEm Y 1901,14 4414 P Ra 0 - h coda+ 9° rl MOIPERAn0N5bclmv E NIA i«e m._ 72WSCLR3783 ! Ogf2a12016 0912812017E X:PER TH' T3T3 +E.L. crcH acaDCTir 3 2,000,040 DfSEPSE .EA ErA OY X1.000.0{10 _E.L. ! EL. DISEASE- POLICYIMT 1,000,000 C Poesslon Liab C !Retention: II70,000 I MGN0002343516GI 11912V2-001 12 17 MCN0Q023435160i 09/25120160012512017 leer Claim 3.000,000 Aggregate 3,000,000 DESCRIPTION CP OPERATIONS I LOCATIONS I VEHICLES(ACCRU 101. AtINIL0141 Aemmka Schedule. may be anachod If n%ve dans is r ll The Cit yy of Santa Ana, It's officers, employees, agents, volunteers and representatives are Additional {naured�in regards to General Liability per form IH12001165 which Includes 30 Day Notice of Caneellatlon, primary 8, Nan -Contributory wording and WoNor of Subrogation coverages apply to the Goneral Liability policy when required by written contract per the attachad endorsement SS0008 04105 (p9s, 1647 0124). i SNOULO ANY OF THE ABOVE OESCRIBED POLICIES nE OANCELLLO SURE Cil of Santa Ana THE. EXPIRATION DATE THEREOF, NOTICE W14L BE DELIVERED IN Y 20 Civic Center Plaza AC COROANCE. W0 THE POLICY PROVISIONS. Santa Ana, CA 92701 AUTHORtWO RePREMNITATIVE ACORO 25 (2010103) (01980,2015 ACORD CORPORATION. All fights The ACORD name and logo are registered marks of ACORD ,,,7 ppfza f�r .4 i -rt fcD17--'a Westbound Communications, Inc EFFECTIVE DATES 0 510 612 0 1 7 to 05/06/2018 J4POLICY NUMBER: 72 SBA 224627 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - PERSON -ORGANIZATION THE CITY OF MORENO VALLEY MORENO VALLEY COMMUNITY SERVICES DISTRICT REDEVELOPMENT AGENCY OF THE CITY OF MORENO VALLEY 14177 FREDERICK STREET MORENO VALLEY, CA 92552 THE COUNTY OF ORANGE JOHN WAYNE AIRPORT 3160 AIRWAY AVENUE COST MESA, CA 92626 ORANGE COUNTY TRANSPORTATION AUTHORITY ATTN: PIA VEESAPEN 550 S. MAIN STREET ORANGE, CA 92863-1584 RE: REFERENCE AGREEMENT NO. C-1-2666 CITY OF SANTA ANA 20 CIVIC CENTER PLAZA SANTA ANA, CA 92701 TIME WARNER CABLE, INC. 550 N. CONTINENTAL BLVD. EL SEGUNDO, CA 90245 RE: PRIMARY AND NON CONSTRIBUTORY PLACENTIA - YORBA LINDA UNIFIED SCHOOL DISTRICT, ITS BOARD AND ITS OFFICERS, AGENTS AND EMPLOYEES SOUTHERN CALIFORNIA SCHOOLS RISK MANAGEMENT 1301 E. ORANGETHORPE AVE PLACENTIA, CA 92870 WILLDAN ENERGY SOLUTIONS ATTN: RISK MANAGER 2401 E. KATELLA AVE_ STE 300 ANAHEIM, CA 92806 Form IH 12 00 11 85 T SEQ. NO. 003 Printed in U.S.A. Page 001 (CONTINUED ON NEXT PAGE V Process Date: 02/22/17 Expiration Date: 05/06/12 my/ Westbound Communications, Inc EFFECTIVE DATES 05/06/2017 to 05,106/2018 POLICY NUMBER: 72 SBA IE4627 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 30 DAY NOTICE OF CANCELLETION IN CONSIDERATION OF NO CHANGE IN PREMIUM, IT IS HEREBY AFPEED AND UNDERSTOOD THAT FORM SS1224 IS ADDED PER THE ATTACHED. Form IH 12 00 11 85 T SEC. NO. 007 Printed in U.S.A. Page 001 (CONTINUED ON NEXT PAGE) Process Date: 02/22/17 Expiration D ate: OS/06/18 �f�" BUSINESS LIABILITY COVERAGE FORM This Paragraph L applies separately to you and any additional insured. 3. Financial Responsibility Laws a. When this policy is certified as proof of financial responsibility for the future under the provisions of any motor vehicle financial responsibility law, the insurance provided by the policy for "bodily injury" liability and "property damage" liability will comply with the provisions of the law to the extent of the coverage and limits of insurance required by that law, b. With respect to "mobile equipment" to which this insurance applies. we will provide any liability, uninsured motorists, underinsured motorists, no-fault or other coverage required by any motor vehicle law. We will provide the required limiis for those coverages. 4. Legal Action Against Us No person or organization has a right under this Coverage Form: a. To join us as a party or otherwise bring us into a "suit" asking for damages from an insured; or b. To sue us on this Coverage Form unless all of its terms have been fully complied with. A person or organization may sue us to recover Pin an agreed settlement or on a final judgment against an insured: but we will not -be liable for damages that are not payable under the terms of this insurance or that are in excess of the applicable limit of insurance. An agreed settlement means a settlement and release of liability signed by us. the insured and the claimant or the claimant's legal representative. 5. Separation Of insureds Except with respect to the Limits of Insurance, and any rights or duties specifically assigned in this policy to the first Named Insured, this insurance applies: a. As if each Named Insured were the only Named Insured, and b. Separately to each insured against whom a claim is made or "suit" is brought. 6. Representations a. When You Accept This Policy By accepting this policy, you agree: (1) The statements in the Declarations are accurate and complete: (2) Those statements are based upon representations you made to us; and Page 16 of 24 N caNnmdc mnwmavonn Inc PO LL'N NUMBER: 71Sn-\ Nt 17 ["J.1 h('1 IA L U.A I F.i:05 up 201' hili Iif, Iuls (3) We have issued this policy In reliance upon your representations. b. Unintentional Failure To Disclose Hazards If unintentionally you should fail to disclose all hazards relating to the conduct of your business at the inception dale of this Coverage Part, we shall not deny any coverage under this Coverage Part because of such failure. 7. Other Insurance If other valid and collectible insurance is available for a loss we cover under this Coverage Part, our obligations are limited as fol lows: a. Primary Insurance This insurance is primary except when b. below applies. If other insurance is also primary, we will share with all that other insurance by the method described in c. below, b. Excess Insurance This insurance is excess over any of the other insurance, whether primary, excess, contingent or on any other basis: (1) Your Work That is Fire, Extended Coverage, Builder's Risk, Installation Risk or similar coverage for "your work"; (2) Premises Rented To You That Is fire, lightning or explosion insurance for premises rented to you or temporarily occupied by you with permission of the owner; (3) Tenant Liability That is insurance purchased by you to cover your liability as a tenant for "property damage" to premises rented to you or temporarily occupied by you with permission of the owner: (4) Aircraft, Auto Or Watercraft If the loss arises out of the maintenance or use of aircraft, "autos" or watercraft to the extent not subject to Exclusion g. of Section A. -Coverages. (5) Property Damage To Borrowed Equipment Or Use Of Elevators If the loss arises out of "property damage" to borrowed equipment or the use of elevators to the extent not subject to Exclusion k. of Section A. - Coverages. Form SS 00 �0304 0S WESTCOM-16 EBRI' A�COAO DATE (MMIDDIYYYY) CERTIFICATE TE OF LIABILITY INSURANCE f 09I14/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). License # 0757776 CONTACT . ... PRODUCER Jordan Bartleson HUB International Insurance Services Inc. PHONE FAX 3390 University Ave., Ste 300 (A/C, No, Ext) (AIC, No): ....._... Riverside, CA 92501 E-MAIL ADDRESS cal.cpu@hubinternational.com A-2015-112-03 INSURED Westbound Communications, Inc. 625 The City Dr., Ste 480 Orange, CA 92868 A 00 37273 INSURER F : OVERAGESmmmmmmITmmm_mmm_ _ CERTIFICATE NUMBER: REVISION NUMBER. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEENREDUCED BY PAID CLAIMS. .. RI ADDLISUBR POLICY EFF POLICY EXP a . TYPE OF INSURANCE I POLICY NUMBER ('�hYMJDDI"M"t YYh LIMITS t X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE$ 2'000'000 DAMAGE TO RENTED CLAIMS -MADE OCCUR X X 72SBAIB4627 0510612017 0510612018 1,000 000 .i ,... PREMISEC tE? p..,'u4Adlrt.'1 .. $ ..... MED EXP (Anyone person) $ 10'000 .._ PERSONAL &,ADV INJURY $ 2 OOO OOO GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 X POLICY PRO -. LOC 4,000,000 p� .. .... JECT PRODUCTS -COMP/OP AGQ S __- .................... AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT000 2, ' EXCESS LIAB CLAIMS MADE 72SBAIB4627 05/06/2017 (Ea acadentl �„ - .........10.000...... I X ANY AUTO 72SBAIB4627 0510612017 0510612018 BODILY INJURY JPer person) $ DED RETENTION$ _ ...... OWNEDSCHEDULED _ $............. "- B WORKERS COMPENSATION AUTOS ONLY AUTOS BQDILY INJURY jeer accident) $ J AUTOS ONLY -- AUUTOS ONLY (Per acc dentDAMAGE $ A X '.. UMBRELLA LIAB X OCCUR I_ EACH OCCURRENCE $ 2,000,000 EXCESS LIAB CLAIMS MADE 72SBAIB4627 05/06/2017 05/06/2018 2'000'000 - .........10.000...... I X AGGREGATE $ - — DED RETENTION$ _ ...... _ $............. B WORKERS COMPENSATION PER T ORH AND EMPLOYERS'LIABILITY Y " XL ST E ANY PROPRIETORIPARTNER/EXECUTIVE NIA 72WECLR3783 7 O9I28I2O1 09/28/2018 EACH ACCIDENT $ 1,000,000 OFFICERIMEMBEREXCLUDED? (Mandatory in NH) N...�,..�,..�,..�,..�,..�,..�,..�,..�,..�,..�,..�,..�,..�,..�,..�,..�,..�,..�,..�,.,--- ... 1'000'000 If yes, describe under E.L. DISEASE - EA EMPLOYEE:; $ -----. 1,000 000 DESCRIPTION OF OPERATIONS below W .,�.�............ w LIMIT $ E POLICY I C 'Pofesslonal Liab MCN000234351 701 09/25/2017 ......... ... ._._E..E. 0912512018 Per Claim 3,000,000 C Retention: $10,000 'MCN000234351701 0912512017 0912512018 Aggregate 3,000,000 DESCRIPTION OF OPERATIONS i LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Fhe City of Santa Ana, it's officers, employees, agents, volunteers and representatives are Additional Insured in regards to General Liability per form H12001185 which includes 30 Day Notice of Cancellation. Primary & Non -Contributory wording and Waiver of Subrogation coverages apply to the General _iability policy when required by written contract per the attached endorsement SS0008 04105 (pgs. 16-17 of 24). CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Ci CiCivic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana, CA 92701 ....... _....... .........�..................m_......... N.. AUTHORIZED REPRESENTATIVE ACORD 25 (2016103) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD i 1412P z a Westbound Communications, Inc. EFFECTIVE DATES: 05/06/2017 to 05/06/2018 POLICY NUMBER: 72 SBA 134627 lk THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - PERSON -ORGANIZATION THE CITY OF MORENO VALLEY MORENO VALLEY COMMUNITY SERVICES DISTRICT REDEVELOPMENT AGENCY OF THE CITY OF MORENO VALLEY 14177 FREDERICK STREET MORENO VALLEY, CA 92552 THE COUNTY OF ORANGE JOHN WAYNE AIRPORT 3160 AIRWAY AVENUE COST MESA, CA 92626 ORANGE COUNTY TRANSPORTATION AUTHORITY ATTN: PIA VEESAPEN 550 S. MAIN STREET ORANGE, CA 92863-1584 RE: REFERENCE AGREEMENT NO. C-1-2666 CITY OF SANTA ANA 20 CIVIC CENTER PLAZA SANTA ANA, CA 92701 TIME WARNER CABLE, INC. 550 N. CONTINENTAL BLVD. EL SEGUNDO, CA 90245 RE: PRIMARY AND NON CONSTRIBUTORY PLACENTIA - YORBA LINDA UNIFIED SCHOOL DISTRICT, ITS BOARD AND ITS OFFICERS, AGENTS AND EMPLOYEES SOUTHERN CALIFORNIA SCHOOLS RISK MANAGEMENT 1301 E. ORANGETHORPE AVE PLACENTIA, CA 92870 WILLDAN ENERGY SOLUTIONS ATTN: RISK MANAGER 2401 E. KATELLA AVE., STE 300 ANAHEIM, CA 92806 Form IH 12 00 11 85 T SEQ. NO. 00:3 Printed in U.S.A. Page 001 (CONTINUED ON NEXT PAGE) Process Date: 02/22/17 Expiration Date: 05/06/18 10 Westbound Communications, Inc. EFFECTIVE DATES: O500/2O17koO5/D8/2O18 POLICY NUMBER: 72 SBA zB4627 THIS EWO[3FlSEK8ENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 30 DAY NOTICE OF CANCELLETION IN CONSIDERATION OF NO CHANGE IN PREMIW, IT IS HEREBY AFREED AND UNDERSTOOD THAT FORM SS1224 IS ADDED PER THE ATTACHED. Form |H12OO11D5TSEQ. NO, oo7 PhntodinU.S.A` PoQo 001 (comzzmUEo ON NEXT PAGE) Process Date: 02/22/17 Expiration Date: 05/06/18 ParagraphThis f. *separately to you and any additional insured. 3. Financial Responsibility Laws a. When this policy is certified as proof of financial responsibility for the future under the provisions of any motor vehicle financial responsibility law, the insurance provided by the policy for "bodily injury" liability and "property damage" liability will comply with the provisions of the law to the extent of the coverage and limits of insurance required by that law. b. With respect to "mobile equipment" to which this insurance applies, we will provide any liability, uninsured motorists, underinsured motorists, no-fault or other coverage required by any motor vehicle law. We will provide the required limits for those coverages. 4. Legal Action Against Us No person or organization has a right under this Coverage Form: a. To join us as a party or otherwise bring us into a "suit" asking for damages from an insured; or . To sue us on this Coverage Form unless all of its terms have been fully complied with. A person or organization may sue us to recover on an agreed settlement or on a final judgment against an insured; but we will not be liable for damages that are not payable under the terms of this insurance or that are in excess of the applicable limit of insurance. An agreed settlement means a settlement and release of liability signed by us, the insured and the claimant or the claimant's legal representative. 5. Separation Of Insureds Except with respect to the Limits of Insurance, and any rights or duties specifically assigned in this policy to the first Named Insured, this insurance applies: a. As if each Named Insured were the only Named Insured; and b. Separately to each insured against whom a claim is made or "suit" is brought. 6. Representations a. When You Accept This Policy By accepting this policy„ you agree: (1) The statements in the Declarations are accurate and complete; (2) Those statements are based upon representations you made to us; and Page 16 of 24 W,stbound Communications, t ac. POLKd M)AIC31_I3: 72SB V113=$62 1 QTl:.0 J AT LSA I I.:S: 05 06 20P to 05 06 2018 (3) We have issued this policy in reliance upon your representations. b. Unintentional Failure To Disclose Hazards If unintentionally you should fail to disclose all hazards relating to the conduct of your business at the inception date of this Coverage Part, we shall not deny any coverage under this Coverage Part because of such failure. 7. Other Insurance If other valid and collectible insurance is available for a loss we cover under this Coverage Part, our obligations are limited as follows: a. Primary Insurance This insurance is primary except when b. below applies. If other insurance is also primary, we will share with all that other insurance by the method described in c. below. b. Excess Insurance This insurance is excess over any of the other insurance, whether primary, excess, contingent or on any other basis: (1) Your Work That is Fire, Extended Coverage, Builder's Risk, Installation Risk or similar coverage for "your work"; (2) Premises Rented To You That is fire, lightning or explosion insurance for premises rented to you or temporarily occupied by you with permission of the owner; (3) Tenant Liability That is insurance purchased by you to cover your liability as a tenant for "property damage" to premises rented to you or temporarily occupied by you with permission of the owner; (4) Aircraft, Auto Or Watercraft If the loss arises out of the maintenance or use of aircraft, "autos" or watercraft to the extent not subject to Exclusion g. of Section A. — Coverages. (5) Property Damage To Borrowed Equipment Or Use Of Elevators If the loss arises out of "property damage" to borrowed equipment or the use of elevators to the extent not subject to Exclusion k. of Section A. — Coverages. Form SS 0 oestbm nuCauiniun.ca.(/ms,nnc. mmurwowoaR:rsBnn+*z EFrEC7vT m/11 cm 05 06 2017 m 05 00 20 | a (U) When You Are Added As An Additional Insured To Other Insurance That is other insurance available to you covering liability for damages arising out of the premises or operations, for which you have been itSULPice: or (7) When You Add Others As An Additional Insured To This Insurance That isother insurance available 1oon additional insured. Hmwever, the following provisions apply to other insurance available to any person ororganization who is an additional insured under this Coverage Part: (a) Primary Insurance When Required By Contract This insurance is primary if you have agreed in awh8en contract, written agreement or permit that this insurance bmprimary. If other insurance is also phmary, we will share with all that other insurance by the method described in o. below. (b) Primary And Non -Contributory To Other Insurance When Required By Contract If you have agreed in m written contract, written agreement or permit that this insurance is primary and non-contributory with the additional insu/ed's own insumnue, this insurance is primary and we will not seek ounUibudun from that other insurance. Paragraphs (a)and (b) do not apply to other insurance towhich the additional insured has been added as an additional insured, When this insurance is excess, we will have noduty under this Coverage Part to defend the insured against any "suit" if any other insurer has a duty to defend the insured against that "suit". If no other insurer defends, we will undertake to do so, but we will be entitled to the insured's rights against all those other insurers. Form SS 00 08 04 05 When this insurance is excess over other insurance, we will pay only our share of the amount of the loss, if any, that tyceeds the suit of: (1) The total amount that all such other insurance would pay for the loss in the absence ofthis insurance; and (2) The total of all deductible and self- insured amounts under all that other insurance. We will share the remaining loss, ifany, with any other insurance that isnot described in this Excess Insurance provision and was not bought specifically to apply in excess ofthe Limits of Insurance shown in the Declarations ofthis Coverage Part. c. Method DfSharing If all the other insurance permits contribution by equal shares, wewill follow this method also. Under this app/omuh, each insurer contributes equal amounts until it has paid its applicable limit of insurance o/ none of the loss remains, whichever comes first. |fany ofthe other insurance does not permit contribution by equal chaes, we will contribute bylimits. Under this method, each insurer's share in basad on the ratio of its applicable limit of insurance to the Vz1a| applicable limits ofinsurance ofall insurers. O. Transfer Of Rights Of Recovery Against Others ToUa a. Transfer DfRights DfRecovery If the insured has rights to recover all o/ part of any payment. including Supplementary PaymenCs, we have made under this Coverage Part, those rights are transferred to un. The insured must do nothing after loss to impair them. At our requect, the insured will bring "suit" o/ transfer those rights to us and help us enforce them. This condition does not apply VzMedical Expenses Coverage. b. Waiver Of Rights Of Recovery (Waiver Of Subrogation) If the insured has waived any rights of recovery against any person or organization for all or part of any payment, including Supplementary Payments, we have made under this Coverage Part, we also waive that right, provided the insured waived their rights of recovery against such person or organization in a contract, agreement or permit that was executed prior to the injury or damage. WESTCOM-16 SGONZALEZ ACORO CERTIFICATE OF LIABILITY INSURANCE DATE 04/26/2018Y) oat2st2o18 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER License # 0757776 NAMEACT Jordan Bartleson HUB International Insurance Services Inc. PHONE FAX 3390 University Ave., Ste 300 (A/C, No, Ext): (951) 779-8575 (A/C, No).(951) 231-2572 Riverside, CA 92501 E-MAIL cal.cpu@hubinternational.com A-2015-112-03 � - Ltd. 111000 INSURED INSURER B : Hartford Accident and Indemnity Compan 122357 Westbound Communications, Inc. I INSURER C :Axis Insurance Company 137273 625 The City Drive, Suite 480 Orange, CA 92868 RER E: F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP ITP TYPE OF INSURANCE iucn wvn POLICY NUMBER LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR X EACH OCCURRENCE $ DAMAGE TO RENTED X 72SBAIB4627 05/06/2018 0510612019 PR�""ISEC,E�p;r,E,,Lcgj $ 2,000,000 1,000,000 MED EXP (Any one person) $ PERSONAL & ADV INJURY 10,000 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO F LOC X POLICY ElJECT GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ 4,000,000 4,000,000 OTHER: I $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2,000,000 BODILY INJURY Per person) $ ANY AUTO 72SBAIB4627 0510612018 0510612019 OWNEDSCHEDULED AUTOS ONLY AUTOS I BODILY INJURY Per accident $ PROPERTY DAMAGE (Per accident) $ X HIRED X NUTN AUTOS ONLY AUTOS ONLY A X UMBRELLA LIAB X OCCUR2,000,000 .EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE 72SBAIB4627 05/06/2018 0510612019 f AGGREGATE $ _ 2'000'000 DED T X RETENTION $ 10,000 B WORKERS COMPENSATION ANO EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER and R/MtoryEn NH) EXCLUDED) �i, N / A 72WECLR3783 0912812017 0912812018 X PER OTH- STA UTE FR — — E.L. EACH ACCIDENT $ 1,000,UUU E.L. DISEASE - EA EMPLOYEE $ 1,000,000 H yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1,000,000 C Pofessional Liab MCN000234351701 0912512017 0912512018 Per Claim 3,000,000 C Retention: $10,000 MCN000234351701 0912512017 0912512018 Aggregate 3,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Santa Ana, it's officers, employees, agents, volunteers and representatives are Additional Insured in regards to General Liability per form IH12001185 which includes 30 Day Notice of Cancellation. Primary & Non -Contributory wording and Waiver of Subrogation coverages apply to the General Liability policy when required by written contract per the attached endorsement SS0008 04105 (pgs. 16-17 of 24). SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cit of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD a to o are registered marks of ACORD ('�� IPI �� �� Westbound Communications, Inc. BUSINESS LIABILITY COVERAGE FORM POLICY NUMBER: 72SBAIS4627 EFFECTIVE DATES: 05/06/2018 to 05/06/2019 This Paragraph f. applies separately to (3) We have issued this policy in reliance you and any additional insured. upon your representations. 3. Financial Responsibility Laws b. Unintentional Failure To Disclose a. When this policy is certified as proof of Hazards financial responsibility for the future under If unintentionally you should fail to disclose the provisions of any motor vehicle all hazards relating to the conduct of your financial responsibility law, the insurance business at the inception date of this provided by the policy for "bodily injury" Coverage Part, we shall not deny any liability and "property damage" liability will coverage under this Coverage Part comply with the provisions of the law to because of such failure. the extent of the coverage and limits of 7. Other Insurance insurance required by that law. (5) Property Damage To Borrowed b. With respect to "mobile equipment" to If other valid and collectible insurance is By accepting this policy, you agree: available for a loss we cover under this which this insurance applies, we will Coverage Part, our obligations are limited as provide any liability, uninsured motorists, follows: underinsured motorists, no-fault or other subject to Exclusion k. of Section A. — coverage required by any motor vehicle a. Primary Insurance law. We will provide the required limits for This insurance is primary except when b. those coverages. below applies. If other insurance is also 4. Legal Action Against Us primary, we will share with all that other No person or organization has a right under insurance by the method described in c. this Coverage Form: below. a. To join us as a party or otherwise bring us b. Excess Insurance into a "suit" asking for damages from an This insurance is excess over any of the insured; or other insurance, whether primary, excess, b. To sue us on this Coverage Form unless contingent or on any other basis: all of its terms have been fully complied (1) Your Work with. That is Fire, Extended Coverage, A person or organization may sue us to recover Builder's Risk, Installation Risk or on an agreed settlement or on a final judgment similar coverage for "your work"; against an insured; but we will not be liable for (2) Premises Rented To You damages that are not payable under the terms of this insurance or that are in excess of the That is fire, lightning or explosion applicable limit of insurance. An agreed insurance for premises rented to you settlement means a settlement and release of or temporarily occupied by you with liability signed by us, the insured and the permission of the owner; claimant or the claimant's legal representative. (3) Tenant Liability 5. Separation Of Insureds That is insurance purchased by you to Except with respect to the Limits of Insurance, cover your liability as a tenant for and any rights or duties specifically assigned "property damage" to premises rented in this policy to the first Named Insured, this to you or temporarily occupied by you insurance applies: with permission of the owner; a. As if each Named Insured were the only (4) Aircraft, Auto Or Watercraft Named Insured; and If the loss arises out of the maintenance b. Separately to each insured against whom or use of aircraft, "autos" or watercraft to a claim is made or "suit" is brought. the extent not subject to Exclusion g. of Section A. — Coverages. 6. Representations (5) Property Damage To Borrowed a. When You Accept This Policy Equipment Or Use Of Elevators By accepting this policy, you agree: If the loss arises out of "property (1) The statements in the Declarations damage" to borrowed equipment or are accurate and complete; the use of elevators to the extent not (2) Those statements are based upon subject to Exclusion k. of Section A. — representations you made to us; and Coverages. Page 16 of 24 Form SS 00 08 04 05 (6) When You Are Added As An Additional Insured To Other Insurance That is other insurance available to you covering liability for damages arising out of the premises or operations, or products and completed operations, for which you have been added as an additional insured by that insurance; or (7) When You Add Others As An Additional Insured To This Insurance That is other insurance available to an additional insured. However, the following provisions apply to other insurance available to any person or organization who is an additional insured under this Coverage Part: (a) Primary Insurance When Required By Contract This insurance is primary if you have agreed in a written contract, written agreement or permit that this insurance be primary. If other insurance is also primary, we will share with all that other insurance by the method described in c. below. (b) Primary And Non -Contributory To Other Insurance When Required By Contract If you have agreed in a written contract, written agreement or permit that this insurance is primary and non-contributory with the additional insured's own insurance, this insurance is primary and we will not seek contribution from that other insurance. Paragraphs (a) and (b) do not apply to other insurance to which the additional insured has been added as an additional insured. When this insurance is excess, we will have no duty under this Coverage Part to defend the insured against any "suit" if any other insurer has a duty to defend the insured against that "suit". If no other insurer defends, we will undertake to do so, but we will be entitled to the insured's rights against all those other insurers. Form SS 00 08 04 05 BUSINESS LIABILITY COVERAGE FORM When this insurance is excess over other insurance, we will pay only our share of the amount of the loss, if any, that exceeds the sum of: (1) The total amount that all such other insurance would pay for the loss in the absence of this insurance; and (2) The total of all deductible and self- insured amounts under all that other insurance. We will share the remaining loss, if any, with any other insurance that is not described in this Excess Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage Part. c. Method Of Sharing If all the other insurance permits contribution by equal shares, we will follow this method also. Under this approach, each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. If any of the other insurance does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. 8. Transfer Of Rights Of Recovery Against Others To Us a. Transfer Of Rights Of Recovery If the insured has rights to recover all or part of any payment, including Supplementary Payments, we have made under this Coverage Part, those rights are transferred to us. The insured must do nothing after loss to impair them. At our request, the insured will bring "suit" or transfer those rights to us and help us enforce them. This condition does not apply to Medical Expenses Coverage. b. Waiver Of Rights Of Recovery (Waiver Of Subrogation) If the insured has waived any rights of recovery against any person or organization for all or part of any payment, including Supplementary Payments, we have made under this Coverage Part, we also waive that right, provided the insured waived their rights of recovery against such person or organization in a contract, agreement or permit that was executed prior to the injury or damage. Page 17 of 24 Westbound Communications, Inc. EFFECTIVE DATES: 05/06/2018 to 05/06/2019 POLICY NUMBER: 72 SBA IB4627 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 30 DAY NOTICE OF CANCELLETION IN CONSIDERATION OF NO CHANGE IN PREMIUM, IT IS HEREBY AFREED AND UNDERSTOOD THAT FORM SS1224 IS ADDED PER THE ATTACHED. Form IH 12 00 11 85 T SEQ. NO. 007 Printe in.U.S.A. Page 001 (CONTINUED ON NEXT PAGE) Process Date: 02/21/18 Expiration Date: 05/06/19 Westbound Communications, Inc. EFFECTIVE DATES: 05/06/2018 to 05/06/2019 POLICY NUMBER: 72 SBA IB4627 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - PERSON -ORGANIZATION THE CITY OF MORENO VALLEY MORENO VALLEY COMMUNITY SERVICES DISTRICT REDEVELOPMENT AGENCY OF THE CITY OF MORENO VALLEY 14177 FREDERICK STREET MORENO VALLEY, CA 92552 THE COUNTY OF ORANGE JOHN WAYNE AIRPORT 3160 AIRWAY AVENUE COST MESA, CA 92626 ORANGE COUNTY TRANSPORTATION AUTHORITY ATTN: PIA VEESAPEN 550 S. MAIN STREET ORANGE, CA 92863-1584 RE: REFERENCE AGREEMENT NO. C-1-2666 CITY OF SANTA ANA 20 CIVIC CENTER PLAZA SANTA ANA, CA 92701 TIME WARNER CABLE, INC. 550 N. CONTINENTAL BLVD. EL SEGUNDO, CA 90245 RE: PRIMARY AND NON CONSTRIBUTORY PLACENTIA - YORBA LINDA UNIFIED SCHOOL DISTRICT, ITS BOARD AND ITS OFFICERS, AGENTS AND EMPLOYEES SOUTHERN CALIFORNIA SCHOOLS RISK MANAGEMENT 1301 E. ORANGETHORPE AVE PLACENTIA, CA 92870 WILLDAN ENERGY SOLUTIONS ATTN: RISK MANAGER 2401 E. KATELLA AVE., STE 300 ANAHEIM, CA 92806 Form IH 12 00 11 85 T SEQ. NO. 003 Printed in U.S.A. Page 001 (CONTINUED ON NEXT PAGE) Process Date: 02 / 21 / 18 Expiration Date: 05/06/19